Provider Demographics
NPI:1881785319
Name:KEMP, TRAVIS JAY (DC)
Entity type:Individual
Prefix:
First Name:TRAVIS
Middle Name:JAY
Last Name:KEMP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2912
Mailing Address - Country:US
Mailing Address - Phone:308-234-1700
Mailing Address - Fax:308-234-3387
Practice Address - Street 1:11 E 31ST ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2912
Practice Address - Country:US
Practice Address - Phone:308-234-1700
Practice Address - Fax:308-234-3387
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE99568OtherBCBS
NE47084202100Medicaid
NE99568OtherBCBS
83906Medicare UPIN